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The Strategic Planning team was created to lead the company's transformation to be more consumer-centric and provide enhanced value. Answering directly to the executive leadership, the team undertakes the company's most challenging...
and EmblemHealth * Ambassador. Effectively communicates the EmblemHealth and CareCafe visions with community to engender ... etc. for EmblemHealth to fund that further the mission of EmblemHealth and its CareCafes. Position Success Criteria: *...
Summary: Manages the day-to-day staffing and facility operations of an assigned Neighborhood Care Center location (estimated capacity 75+). Supervises site-specific Healthcare Solutions Specialist staff with dotted line reporting...
face-to-face with members. The HCSS will be the "face of EmblemHealth" in the community and will focus on providing ... to which to refer the member (Care Support team or other EmblemHealth staff members including claims, enrollment,...
Performs advanced level and/or managerial professional clinical auditing work. Manage or conduct performance, financial, and compliance audit projects; providing consulting services to organizational management and staff; providing input...
of case management and clinical pharmacy services to EmblemHealth participating providers and members. Intervenes with project leaders, pharmacy managers and practitioners to make clinical decisions which will enhance the quality of...
that suspend within the Medical Claims System utilizing EmblemHealth's PPO proprietary conventional coding ... Look-Up and any other helper application developed by EmblemHealth to support claims processing. *Perform related...
for developing and managing the clinical relationships with EmblemHealth providers. This position will work closely with ... and procedures to support the clinical partnership between EmblemHealth and the shared savings provider groups *...
Educator will be part of an innovative team leading EmblemHealth's Shared Savings and ACO programs and associated provider collaboration efforts. The Clinical Best Practices Educator will work with the Shared Savings Lead Contract...
will run the day-to-day email campaigns in support of EmblemHealth's Mass Mailing/Go Paperless (MMGP) initiative. This position will also produce html e-mail newsletters and other communications. Performs other duties as assigned.
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